Provider Demographics
NPI:1275347593
Name:VALLE, ERIKA BEATRIZ
Entity type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:BEATRIZ
Last Name:VALLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 ROUND TABLE DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89110-3878
Mailing Address - Country:US
Mailing Address - Phone:725-203-9312
Mailing Address - Fax:
Practice Address - Street 1:660 ROUND TABLE DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89110-3878
Practice Address - Country:US
Practice Address - Phone:725-203-9312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant